碘131联合射频消融治疗儿童甲状腺功能亢进症伴重度甲状腺肿一例

一例12岁8个月女童，发现颈部肿块5年余，喉部不适、呼吸困难一周入院。患儿5年前被诊断为“桥本甲状腺炎、甲状腺功能亢进症”，药物治疗后甲状腺功能仍有波动。本次入院后颈部超声检查提示左侧甲状腺大小为8．1cm×3．2cm，右侧为8．2cm×4．8am。行碘131联合射频消融治疗后，患儿喉部不适、呼吸困难症状消失，超声检查提示左侧甲状腺缩小至2．3cm×1．7cm，右侧缩小至2．8cm×2．0cm。随访两年半，无复发。...

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Published inZhejiang da xue xue bao. Journal of Zhejiang University. Medical sciences. Yi xue ban Vol. 46; no. 1; pp. 89 - 91
Main Author 陈永花 梁黎 方燕兰 王春林 李林法 蒋天安
Format Journal Article
LanguageChinese
English
Published 浙江大学医学院附属第一医院儿科, 浙江 杭州 310003 %浙江大学医学院附属第一医院儿科,浙江 杭州,310003%浙江大学医学院附属第一医院核医学学科,浙江 杭州,310003%浙江大学医学院附属第一医院超声影像科,浙江 杭州,310003 25.02.2017
Beijing Zhongke Journal Publising Co. Ltd
Subjects
儿童
危重病
导管消融术
甲状腺功能亢进症／药物疗法
甲状腺肿／并发症
甲状腺肿／药物疗法
病例报告
碘放射性同位素／治疗应用
并发症
Critical illness
治疗应用
危重病
药物疗法
Iodine radioisotopes/ therapeutic use
Catheter ablation
Case reports
儿童
Goiter/drug therapy
甲状腺肿
Hyperthyroidism/drug therapy
甲状腺功能亢进症
碘放射性同位素
病例报告
Goiter/complications
导管消融术
Child
Online AccessGet full text
ISSN1008-9292
DOI10.3785/j.issn.1008-9292.2017.02.13

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Summary:一例12岁8个月女童，发现颈部肿块5年余，喉部不适、呼吸困难一周入院。患儿5年前被诊断为“桥本甲状腺炎、甲状腺功能亢进症”，药物治疗后甲状腺功能仍有波动。本次入院后颈部超声检查提示左侧甲状腺大小为8．1cm×3．2cm，右侧为8．2cm×4．8am。行碘131联合射频消融治疗后，患儿喉部不适、呼吸困难症状消失，超声检查提示左侧甲状腺缩小至2．3cm×1．7cm，右侧缩小至2．8cm×2．0cm。随访两年半，无复发。
Bibliography:33-1248/R
A 12-year-old girl presented with a history of cervical mass, and one week of throat discomfort and dyspnea. Five years ago, the patient was diagnosed as Hashimoto＇ s thyroiditis and hyperthyroidism; she received antithyroid drug treatment,but the result was not satisfactory. B-ultrasonic showed that the size of thyroid gland was 8.1 cm ×3.2 cm in the left and 8.2 cm ×4.8 cm in the right. After iodine 131 combined with radiofrequency ablation （RFA） treatment, throat discomfort and recumbent breathing difficulties disappeared, and B-ultrasonic showed that the size of thyroid reduced to 2.3 cm ×1.7 cm （left） and 2. 8 cm ×2.0 cm （right）. No recurrence was observed during the two and a half years of follow-up.
Iodine radioisotopes/ therapeutic use ; Catheter ablation ; Hyperthyroidism/drug therapy ; Goiter/drug therapy ; Goiter/complications ; Critical illness ; Child ; Case reports
CHEN Yonghua1, LIANG Li1, FANG Yanlan1, WANG Chunlin1, LI Linfa2, JIANG Tian＇ an3 （1. Department of Pediatrics, the First Aff
21518037@zju.edu.cn第一作者：陈永花 (1990-), 女, 硕士研究生, 住院医师, 主要从事儿科内分泌临床与基础研究工作; E-mail: ; http://orcid.org.0000-0001-6621-1466
ISSN:1008-9292
DOI:10.3785/j.issn.1008-9292.2017.02.13